Evidence map›Paper›PMID 26289141›Full record

Trial reportPsychiatry and clinical neurosciences2016

Frontolimbic neural circuit changes in emotional processing and inhibitory control associated with clinical improvement following transference-focused psychotherapy in borderline personality disorder.

David L Perez, David R Vago, Hong Pan, James Root, Oliver Tuescher, Benjamin H Fuchs, Lorene Leung, Jane Epstein, Nicole M Cain, John F Clarkin and 5 more

Abstract readClinical Trial
In one paragraph

Trial report in Psychiatry and clinical neurosciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Psychotherapy and inhibitory control: Insights from fMRI research.Psychiatry and clinical neurosciences · 2026
    Pooled it
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  10. Borderline Personality Disorder: Updates in a Postpandemic World.Focus (American Psychiatric Publishing) · 2022
    Review
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  12. Article
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  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

David L PerezFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
David R VagoFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
Hong PanFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
James RootDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, USA.
Oliver TuescherDepartment of Neurology, University Medical Center Freiburg, Freiburg im Breisgau, Germany.
Benjamin H FuchsFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
Lorene LeungFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
Jane EpsteinFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
Nicole M CainWeill Cornell Medical College, Department of Psychiatry, Cornell University, New York, USA.
John F ClarkinWeill Cornell Medical College, Department of Psychiatry, Cornell University, New York, USA.
Mark F LenzenwegerWeill Cornell Medical College, Department of Psychiatry, Cornell University, New York, USA.
Otto F KernbergWeill Cornell Medical College, Department of Psychiatry, Cornell University, New York, USA.
Kenneth N LevyWeill Cornell Medical College, Department of Psychiatry, Cornell University, New York, USA.
David A SilbersweigFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.
Emily SternFunctional Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Boston, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Neuroscience Resident Research ProgramR25NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S, WILLIAMS, ZIV · 2009 to 2023
$11.8M
NCI NIH HHS P30 CA008748NINDS NIH HHS R25 NS065743NINDS NIH HHS R25NS065743-05S1
6 · The paper itself

Abstract

aimsBorderline personality disorder (BPD) is characterized by self-regulation deficits, including impulsivity and affective lability. Transference-focused psychotherapy (TFP) is an evidence-based treatment proven to reduce symptoms across multiple cognitive-emotional domains in BPD. This pilot study aimed to investigate neural activation associated with, and predictive of, clinical improvement in emotional and behavioral regulation in BPD following TFP.

methodsBPD subjects (n = 10) were scanned pre- and post-TFP treatment using a within-subjects design. A disorder-specific emotional-linguistic go/no-go functional magnetic resonance imaging paradigm was used to probe the interaction between negative emotional processing and inhibitory control.

resultsAnalyses demonstrated significant treatment-related effects with relative increased dorsal prefrontal (dorsal anterior cingulate, dorsolateral prefrontal, and frontopolar cortices) activation, and relative decreased ventrolateral prefrontal cortex and hippocampal activation following treatment. Clinical improvement in constraint correlated positively with relative increased left dorsal anterior cingulate cortex activation. Clinical improvement in affective lability correlated positively with left posterior-medial orbitofrontal cortex/ventral striatum activation, and negatively with right amygdala/parahippocampal activation. Post-treatment improvements in constraint were predicted by pre-treatment right dorsal anterior cingulate cortex hypoactivation, and pre-treatment left posterior-medial orbitofrontal cortex/ventral striatum hypoactivation predicted improvements in affective lability.

conclusionsThese preliminary findings demonstrate potential TFP-associated alterations in frontolimbic circuitry and begin to identify neural mechanisms associated with a psychodynamically oriented psychotherapy.

Indexed as

EmotionsInhibition, PsychologicalPsychotherapyAdultBorderline Personality DisorderBrainFemaleHumansMagnetic Resonance ImagingNeuroimagingPilot ProjectsPredictive Value of TestsYoung Adultanterior cingulate cortexborderline personality disorderfunctional magnetic resonance imagingorbitofrontal cortextransference-focused psychotherapy

Identifiers

PMID26289141
PMCPMC4718821

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.